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Yes, natural erections are possible with Fildena 150 mg, but only with sexual stimulation. Fildena 150 contains sildenafil citrate, a PDE5 inhibitor that enhances the body's natural ability to achieve an erection—it doesn't artificially trigger one. For many men, this leads to not only better performance but a more confident, fulfilling sexual experience. How It Supports Natural Erections Fildena 150 doesn’t cause automatic erections. Instead, it works with your body’s natural arousal process: Sexual stimulation (physical or psychological) triggers nitric oxide release in the penis. This release activates cGMP, which relaxes blood vessels and increases blood flow. Sildenafil (in Fildena 150) prevents cGMP from breaking down, allowing blood to continue flowing for a firm and lasting erection.